Perlite is a suitable model material for experiments investigating breathing in high density snow

. 2022 Feb 08 ; 12 (1) : 2070. [epub] 20220208

Jazyk angličtina Země Velká Británie, Anglie Médium electronic

Typ dokumentu časopisecké články, randomizované kontrolované studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid35136116
Odkazy

PubMed 35136116
PubMed Central PMC8827056
DOI 10.1038/s41598-022-06015-y
PII: 10.1038/s41598-022-06015-y
Knihovny.cz E-zdroje

Outdoor breathing trials with simulated avalanche snow are fundamental for the research of the gas exchange under avalanche snow, which supports the development of the international resuscitation guidelines. However, these studies have to face numerous problems, including unstable weather and variable snow properties. This pilot study examines a mineral material perlite as a potential snow model for studies of ventilation and gas exchange parameters. Thirteen male subjects underwent three breathing phases-into snow, wet perlite and dry perlite. The resulting trends of gas exchange parameters in all tested materials were similar and when there was a significant difference observed, the trends in the parameters for high density snow used in the study lay in between the trends in dry and wet perlite. These findings, together with its stability and accessibility year-round, make perlite a potential avalanche snow model material. Perlite seems suitable especially for simulation and preparation of breathing trials assessing gas exchange under avalanche snow, and potentially for testing of new avalanche safety equipment before their validation in real snow.The study was registered in ClinicalTrials.gov on January 22, 2018; the registration number is NCT03413878.

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Brugger H, et al. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival. Resuscitation. 2003;58:81–88. doi: 10.1016/S0300-9572(03)00113-8. PubMed DOI

Grissom CK, Radwin MI, Harmston CH, Hirschberg EL, Crowley TJ. Respiration during snow burial using an artificial air pocket. JAMA. 2000;283:2261–2271. doi: 10.1001/jama.283.17.2266. PubMed DOI

Roubik, K., Sieger, L. & Sykora, K. Work of breathing into snow in the presence versus absence of an artificial air pocket affects hypoxia and hypercapnia of a victim covered with avalanche snow: a randomized double blind crossover study. PLOS ONE10, e0144332. 10.1371/journal.pone.0144332 (2015). PubMed PMC

Strapazzon, G. et al. Effects of snow properties on humans breathing into an artificial air pocket–an experimental field study. Sci. Rep.7, 17675. 10.1038/s41598-017-17960-4 (2017). PubMed PMC

Paal P, et al. Factors affecting survival from avalanche burial—a randomised prospective porcine pilot study. Resuscitation. 2013;84:239–243. doi: 10.1016/j.resuscitation.2012.06.019. PubMed DOI

Strapazzon G, et al. Hypoxia and hypercapnia effects on cerebral oxygen saturation in avalanche burial: A pilot human experimental study. Resuscitation. 2021;158:175–182. doi: 10.1016/j.resuscitation.2020.11.023. PubMed DOI

McIntosh SE, Little CE, Seibert TD, Polukoff NE, Grissom CK. Avalanche airbag post-burial active deflation—The ability to create an air pocket to delay asphyxiation and prolong survival. Resuscitation. 2020;146:155–160. doi: 10.1016/j.resuscitation.2019.11.023. PubMed DOI

Lott C, et al. European resuscitation council guidelines 2021: cardiac arrest in special circumstances. Resuscitation. 2021;161:152–219. doi: 10.1016/j.resuscitation.2021.02.011. PubMed DOI

Brugger H, et al. Resuscitation of avalanche victims: evidence-based guidelines of the international commission for mountain emergency medicine (ICAR MEDCOM): Intended for physicians and other advanced life support personnel. Resuscitation. 2013;84(5):539–546. doi: 10.1016/j.resuscitation.2012.10.020. PubMed DOI

Haegeli P, Falk M, Brugger H, Etter HJ, Boyd J. Comparison of avalanche survival patterns in Canada and Switzerland. CMAJ. 2011;183:789–795. doi: 10.1503/cmaj.101435. PubMed DOI PMC

McClung, D. & Schaerer, P. The Avalanche Handbook 3rd ed. (The Mountaineer books, 2006).

Horakova, L., Sykora, K., Sieger, L. & Roubik, K. Breathing Experiments into the Simulated Avalanche Snow: Medical and Technical Issues of the Outdoor Breathing Trials. In World Congress on Medical Physics and Biomedical Engineering 2018: Volume 68/1 (ed. Lhotska, L., Sukupova, L., Lacković, I. & Ibbott, G. S.), 711–717 (Springer Singapore, 2019).

Brugger, H. et al. terraXcube: A new hi-tech training facility for EMS teams. Resuscitation130, e79 (2018).

Roubik, K. et al. Materials suitable to simulate snow during breathing experiments for avalanche survival research. Lekar a technika Clin. Technol. 50, 32–39 (2020).

Doocy, S., Daniels, A., Packer, C., Dick, A. & Kirsch, T. D. The human impact of earthquakes: A historical review of events 1980–2009 and systematic literature review. PLOS Curr.5.10.1371/currents.dis.67bd14fe457f1db0b5433a8ee20fb833 (2013). PubMed PMC

Maron BA, Haas TS, Maron BJ. Sudden death from collapsing sand holes. N. Engl. J. Med. 2007;356:2655–2656. doi: 10.1056/NEJMc070913. PubMed DOI

Grissom CK, et al. Hypercapnia effect on core cooling and shivering threshold during snow burial. Aviat. Space Environ. Med. 2008;79:735–742. doi: 10.3357/ASEM.2261.2008. PubMed DOI

Windsor JS, Hamilton E, Grocott MP, O’Dwyer MJ, Milledge JS. The snow snorkel: A proof of concept study. Wilderness Environ. Med. 2009;20:61–65. doi: 10.1580/08-WEME-BR-183.1. PubMed DOI

Radwin IM, Grissom CK, Scholand MB, Harmston CH. Normal oxygenation and ventilation during snow burial by the exclusion of exhaled carbon dioxine. Wilderness Environ. Med. 2001;12:256–262. doi: 10.1580/1080-6032(2001)012[0256:NOAVDS]2.0.CO;2. PubMed DOI

American Society of Anesthesiologists New classification of physical status. Anesthesiology. 1963;24:111.

Kornhall DK, Logan S, Dolven T. Body positioning of buried avalanche victims. Wilderness Environ. Med. 2016;27:321–325. doi: 10.1016/j.wem.2016.02.008. PubMed DOI

Maxim LD, Niebo R, McConnell EE. Perlite toxicology and epidemiology–a review. Inhalation Toxicol. 2014;26(5):259–270. doi: 10.3109/08958378.2014.881940. PubMed DOI PMC

Kinar NJ, Pomeroy JW. Measurement of the physical properties of the snowpack. Rev. Geophys. 2015;53:481–544. doi: 10.1002/2015RG000481. DOI

Fierz, C., Armstrong, R. L., Durand, Y., Etchevers, P., Greene, E., McClung, D. M., Nishimura, K., Satyawali, P. K., & Sokratov, S. A. The International Classification for Seasonal Snow on the Ground, HP-VII Technical Documents in Hydrology, IACS Contribution No 1, UNESCO-IHP, Paris, France, 90 pp. (2009).

Hohlrieder M, et al. Pattern and severity of injury in avalanche victims. High Alt. Med. Biol. 2007;8:56–61. doi: 10.1089/ham.2006.0815. PubMed DOI

Procter E, et al. Adherence of backcountry winter recreationists to avalanche prevention and safety practices in northern Italy. Scand. J. Med. Sci. Sports. 2014;24:823–829. doi: 10.1111/sms.12094. PubMed DOI

McIntosh SE, et al. Cause of death in Utah avalanche fatalities, 2006–2007 through 2017–2018 winter seasons. Wilderness Environ. Med. 2019;30:191–194. doi: 10.1016/j.wem.2019.02.007. PubMed DOI

Procter E, et al. Burial duration, depth and air pocket explain avalanche survival patterns in Austria and Switzerland. Resuscitation. 2016;105:173–176. doi: 10.1016/j.resuscitation.2016.06.001. PubMed DOI

Falk M, Brugger H, Adler-Kastner L. Avalanche survival chances. Nature. 1994;368(6466):21–21. doi: 10.1038/368021a0. PubMed DOI

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